Provider Demographics
NPI:1013128149
Name:PATEL, BHARTI B (PT)
Entity Type:Individual
Prefix:MRS
First Name:BHARTI
Middle Name:B
Last Name:PATEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24200 CHAGRIN BLVD STE 60
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5541
Mailing Address - Country:US
Mailing Address - Phone:216-292-7569
Mailing Address - Fax:216-292-7612
Practice Address - Street 1:24200 CHAGRIN BLVD STE 60
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5541
Practice Address - Country:US
Practice Address - Phone:216-292-7569
Practice Address - Fax:216-292-7612
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2081261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy